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Home My WebLink AboutBuilding Permit #740 - 154 HIGH STREET 5/30/2006 �- ° TOWN OF NORTH .\N DOVER F D APPLICATION FOR PLAN EX.MNUMTION ,SSAC MU3a Permit NO: y Date Received: �h O Date Issued: 560 (O IMPORT.,XNT: Applicant must complete all items on this page LOC.\TION Print PROPERTY OWNER /U �f7-1 *A-1 Print - Print MAP NO.: 53 PARCEL: JY-0'00,0 ZONING DISTRICT: TYPE AND USE OF BALDING HISTORIC DISTRICT YES 0 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential - New Building One family Addition = Two or more family Industrial No. of units: impair, replacement Assessory Bldg Commercial i tulic Demolition Moving(relocation) - Other Others: = Foundation only DESCRIPTION OF WORK TO BE PREFORNIED &,,Irl Use k 014 12 Ident( kation Please Type or Print Clearly) OVl N ER: '.Name: 4,t( >k 1z,-6W, Phone: 0 / � .lddress: S`a ;73 J T �ld9Cf � 5 C as (y Phone: CONTR.1CTOR Name: Address: A Super,%isor's Construction License: 03t40 Exp. Date: 20V Ilome Improvement License:117 3 Sr9 Exp. Date: ARCHITEC C ENLINEER \"Ime: ('bene: — \ddress: Reg. No. FEE SCHEDL LE: BULDIAG PE' ,il1T. S10.;M FER S100.0 OF THE TOT IL ESTIM.I TED COST:4.ISED 0,N 5125.00 Ph_'R.5.1; i Total Project Cost :$, x10.00-- FEE:$T� P Check Nc).: J��3 � Receipt No.:� � - J � Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. p-oofing, Siding, Interior Rehabilitation Permits a Building Permit Application %Workers Comp Affidavit A Photo Copy Of 1-I.I.C. And/Or C.S.L. Licenses j Copy of Contract :j Floor Plan Or Proposed Interior 1Vork Addition Or Decks :3 Building Permit Application Surveyed Plot Plan o Workers Comp Affidavit :j Photo Copy of H.I.C. And C.S.L. Licenses • Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydr; Calculations (If Applicable) • Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan j Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract a Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board 1ppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Decds. one cop) ai proof of recording must be submitted with the building application >ur; H)\,\l."I'.RN ICU'S 01-T`10ME' I':UI'F01VM5 1 I I`.rearl' TYPE OF SEV4'ARi;E DISPOSAL _ _ TanningAlassage Bode .art S�%imminu Pools _ Public ATSe". Tobacco Sales -- Well Food Packaging Sales _ Permanent Dempster on Site Private(septic tank,etc. _ Electric `Teter location to project 1 VOTE: Persons contracting with unregistered contractors do nut have access to the g taranty,/it, ! Signature of Agent Owner S- ture of Contract Plans Submitted - Plans Waked Certified Plot Plan St 1pe Ian -. i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ iii i ❑Water Shed Special Permit Ei Site Plan Special Permit J Other CONINIENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS c DATE REJECTED DATEAPPROVED HEALTH ,C +1 CO��IVIEVTS r Luning Board of,appeals: ariance. Petition No: 7-onine Dccision,reccipt submitted es i'!nnnin, goud L�aisiun: — --- --conurncnt!; Coosur\m:cn Duci-cion: — -------Cimuncnts — 1',,tcr, Sc�,c r ct;nnectii,n .;i nature&date 'cmp Dempster Cn"itc ;tc_--rx� ire Department si-natun, Jaw Building Permit Appro,,ud and ISSL[cd by: Building Setback (ft.) Front Yard Side Yard Rear Yard Re aired ProN ided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) i _I I i �i t Location No. Date _ b NpRTN TOWN OF NORTH ANDOVER O'� .ao •,ti0 RSI F P Certificate of Occupancy $ s�cNusE Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1922-2 W Building Inspector The Conin►onwealth of Massachuselts Department of Industrial:lccidents 41 t'1 Office of Investigations i r 600 Washington Street Boston, b14 02111 Wwtv.tnass.gov1dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information Please Print Legibly Name (t3usincssiOrgLill i/at itmilndividual): ;address: City,`Statelip: OV0 1/tkkQI&- f' [rThone :4' 12). ire you an employer?Check t�h%appropriate box: Type of project(required): i.0 I am a employer with `f 4• ❑ 1 am a general contractor and 1 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ' etnodeling ship and have no employees These sub-contractors have 3. ❑ Demolition working for me in any capacity. workers' comp. insurance. y. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LE] Plumbing repairs or additions myself. [No workers' comp. c. 152,§I(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] \ny applicant that checks box;!I must also till out the section below showing their workers'compensation policy information. y I lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional:;beet showing the name of the sub-contractors and their workers'comp.policy information. I um an employer that is providing workers'compensation insurance for my emplgvees. Below is the policy and job site information. Insurance Company Name:_34VIM5 Policy 'I or Self ins. Lic. 'l: Z- S — _ Expiration Date:— 0 VGP! 2,Md Job Site Address:. �- 1i /Z/tQ-,AJ7 City/State/zip-AIV ;attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of%16L c. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one-year imprisonment,as vvell as civil penalties in the form of a STOP bb ORK ORDER and a tine Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. I do hereby cerli nder the Ins ant ena es oj'per' y that the information provided above is true and correct. tiinatt _ nate: I�hhne v -C� ------ 1)Jjicivd use only. I)o nsa wrile in this area,to hc-cvonpleted by cit)-or lows �f ficial. City or Town:i`--` vV�_e, Pin-mit/License 4_ !sluing,authority(circle one): L Board of Health 2. Building Department 3.City/Town Clerk t. E!cetrical !nspector :3. Plumbing Inspector 6.Other Contact Peron: _ _-- Phone#: ` NORTIy '9 Town of t. A.ndover No. 7j�(o o �` dover, Mass. o = A f COCMICMEWICK V AORATED P? -`Cl S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR n. ....... ....p.k-...a (:1:4..A...... THIS CERTIFIES THAT........ ........ Foundation has permission to erect................ ....................... buildings on ....'..� . ...... ............141fij,.......,S. ............. Rough to be occupied as...A.....�.�.4 ..,.6vi.....�..�i�. .....O.O.Vw.fttr &J .. .4. ......�� .......��... himn y C e provided that the person acceptin his permit shall in every spect conform to the terms of the app lic ion on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ,�'� �(f PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUN STARTS ELECTRICAL INSPECTOR / Rough ............ C P............... Service L f ECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous .Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. AQ MD. CERTIFICATE OF LIABILITY INSURANCEDATEIMMIDOM'YY) 4/19/2006 PRODUCER (9'78)696-0007 FAX (978)343.6811 THIS CERTIFICATE 15 I35UED AS A MATTER OF INFORMATION Employers Insurance GSOup, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE T? HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 281 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 7B Fitchburg MA 01420 INSURERS AFFORDING COVERAGE NAIC 0 IN4URED IN3URERA:Savers Property &Casualt Jones 6 Co. INSURER B; c/o Resource Managament, Inc. INSURER C: 281 Main Street, Suite 5 INSURER lFitchburg MA 0184401420 1 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWI POLICY EFFECTM POLICY ExmAmm TYPE OF INSURANCE POLICY NUMBER DATE MMMRM LIMITS dENERAL LIABILITY ROWE3 COMMERCIAL GENERAL LIABILITY M(JE JQ RENTED^ $ CLAW MADE 11 OCCUR EDEXP ALOno on 3 PERSONAL&AOV INJURY $ 0ENERALAWFIfGATE 3 GENL AGORECIATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AG 3 POLICY PR 1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (E..cakiantl 3 ALL OVMEO AUTOS BODILY INJURY 3 SCHEDULED AUTOS (Per pawn) HIRED AUTOS BODILY INJURY NON•OwNED AUTOS IPer.w1domt) I3 PROPERTY DAMAGE j 3 ;Per wcltlentl GARAGE UABILITY AUTO ONLY-ER ACCIDENT $ ANYAUTO OTHER THAN EA gep S AUTO ONLY; A S EX09331UMBRELLA LIABILITY QCCYRR&NCE 6 OCCUR ❑CLAIMS MADE AGGRE ATE S 3 DF.000TIBLE 3 RETENTION 3 A WORKERS CCMPEN3ATION AND X 9j T9 0 EMPLOYERS'LIABILITY tt ANY PROPRIETORMARTNEItEXECUTrVE E.LVAC HACCIDENT S 100,000 OFFICERIMEMBEIIEXCLUDET7 WCOOD2343 ! 9/2!2006 3/2/2007 F L.DIs ,OYEE$ 100,000 R ye.,oeeabe urd SPECIALPRO0,106 01ow .L. ISEASE-POLICY LIMIT 13 S00,000 OTHER i I DESCRI/TION OF OPERATIONSILOCATIONS"tHICLESVEXCLUSIONS ADDED BY ENDORSEMENTISPECIALPROVISIONS Covers the employees of the ROMOd insured leased to: JONES & COMANY - (978) 688-7107 97 DRUID RILL ROAD, MZTBVM. MA 01044 Job Re9:163 Xeroury Drive, Carol Beaudion: 235 Morgan Dr. Rene Gravito; Jefferson Estntes, Haverhi11, MA CERTIFICATEOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GREAT NOR'T'H PROPERTY KWAGEMENT EXPIRATION DATE THEREOF, THE 128W4 INSURER WILL ENDEAVOR TO MAIL ATTN: JANINE RACANOVIC 10 DAVE WRITTEN NOTICE TO TILE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 102 NEWEIMY STREET PEABODY, MA 01960-2405 FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN$V R I AGENTS OK REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Judy Pr65cotVPRE AcoRo 26(xoouos) 0 ACORD CORPORATION 1998 INS025(O/OBI.DB AM$ VMP Matgege Sofutlone,Inc.(BWO)321-0545 Jones & Co. Estimate General Contractors _ 97 Druid Hill Rd. E5/21/2H006 TIMATE NO. Methuen Mass. 01844 Tel 1978 688 7307 215 NAME/ADDRESS Mrs Ann Apkarian 154 B High St Methuenn Ma 01845 TERMS PROJECT DESCRIPTION RATE TOTAL Scope of work over the rear sun porch Remove and save the ridge vent. Remove the one layer of shingles to dry out the plywood and check for any damage. Remove the trim boards on both side walls of the roof. Apply a layer of structo deck Apply 100%glued down .060 RPI Rubber sheeting across the roof and up the wall and up the curb of the skylight Apply a New Velux metal flashing kit. Install metal flashing at the roof edge and make sure it deverts water into the gutter Install new gutter hangers Reinstall the ridge vent with new cap shingles. Install new trim boards on each wall to cover flashing We will put back the ceiling and skylight trim Materials,labor,building permit,debri removal Terms payment in full upon completion. Please review and sign both copies,keep one for your records and return the other asI will need it to get a building emit x x 1,784.00 1,784.00 Quote valid for 30 days from reciept. TOTAL $1,784.00 SIGNATURE - Jones & co. Estimate General Contractors 97 Druid Hill Rd. E5/21/2006 TE ESTIMATE NO. Methuen Mass. 01844 Tel 1978 688 7307 214 NAME/ADDRESS Mrs Ann Apkarian 154 B High St N andover Ma 01845 TERMS PROJECT DESCRIPTION RATE TOTAL Please review sign both copies,keep one and return the other as I will need a copy to get a building permit issued. x 3d 65 x If this is acceptable and you are ready we can start the as of Wed May 24 th Quote valid for 30 days from reciept. TOTAL $1,858.75 SIGNATURE Page 2 Jones & Co. Estimate General Contractors 97 Druid Hill Rd. DATE ESTIMATE N0. Methuen Mass. 01844 5/21/2006 213 Tel 1978 688 7307 NAME/ADDRESS Mrs Anne Apkarian 154 B High st. N Andover Ma 01845 TERMS PROJECT DESCRIPTION RATE TOTAL Gayles Window Scope of work Remove the existing dbl hunge window close the opening up to a rough of 50" high as marked on the casing,insulate,drywall tape and sand(no priming or painting included ) Interior Reuse the old trim as it will work fine the window is shorter. Outside blend in the sidding and trim to match as close as possible to the others The new window is the same size width,the height is to be 50"tall so there will be 12 to 15"from the sill to the roof surface to allow for proper flashing,space for snow build up,or rain splashing off the roof above. Window Harvey Classic Casement with a middle meeting rail on the glass so it looks like a double hunge window window,Bronze color,Lowe E Argon Glazing Egress hardware included allows of to open wider 856.00 856.00 Includes Building Permit & Debri removal Please sign both copies keep one for your records and return one as I need a signed copy to get a b '14ing permit issued. x .S x Quote valid for 30 days from reciept. TOTAL $856.00 SIGNATURE ones & Co. Estimate General Contractors 97 Druid Hill Rd. DATE ESTIMATE NO. Methuen Mass. 01844 Tel 1978 688 7307 5/21/2006 214 NAME/ADDRESS Mrs Ann Apkarian 154 B High St N andover Ma 01845 TERMS PROJECT DESCRIPTION RATE TOTAL Scope of work Basement repairs from Sewerage back up. We will cut,fit and replace the missing drywall &corner bead,tape the seams ,apply a texture that matches what is there. We will scrape the other walls as needed to get the loose,blistered texture off the wall. We will seal the surface and blend that texture In the garage we will blend and tape the drywall and sand as needed also blending the sand paint finish texture and then repaint the whole wall. We will prime the effected areas of new drywall and repaint all the walls only in the basement about 820 sq ft match the color and semi finish We will install aprox 48 ft of 1 pc base board prime as needed and paint We will fit a new set of flush luan bifold doors in one of the closet openings cut down to a shorter size (replacing the blocks in the bottom of the unit)then prime and paint as needed. Materials 4/C ,�; 418.75 418.75 Labor base on 32 hrs @ $45.00 / 1,440.00 1,440.00 -2-1 Sq, -7 Quote valid for 30 days from reciept. TOTAL SIGNATURE Pagel